Search › Illinois › 172P00000X
Isaac Shelly
NPI 1578484556 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1834 S 2nd Ave
Maywood, IL 60153 - Phone
- (708) 415-4204
Registry record
- Primary taxonomy
- 172P00000X
172P00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois